37th Annual Railroad Days 5K


Appalachia Firehall, Appalachia, VA

8/7/2021


8:00 a.m. - Railroad Days 5K
8:15 a.m. - 3 Mile Power Walk
8:20 a.m. - 1 Mile Fun Walk

Pre-registration:
(ends 8/6/2021)
$14 for 5k
$10 for Power Walk or Fun Mile
| Regular
| Registration:
$15 for 5K
$11 for Power Walk or Fun Mile
SFTC King & Queen race: SFTC members receive preregistration discount
Make checks payable to: Appalachia Railroad Days 5K
Mail this form to: Box 302
Appalachia, VA
24216
Dorr prizes will be refund of 5 entry fees. Shirts guaranteed to all particpants
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Randy Blair
1-276-455-9621 or 1-276-565-0406
Appalachia Railroad Days 5K
Male & Female Awards:

Top Overall
Top Masters
Top GrandMasters

Age Groups (top 3)
...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65...
3 Mile Power Walk
Male & Female Awards:

Top Overall


...14,15-19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60-64,65...

37th Annual Railroad Days 5K

LAST NAME__________________________________ FIRST NAME_________________________ M.I._______

SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________

ADDRESS___________________________________________________________________________

CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________

RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________

*** CIRCLE EVENT: Appalachia Railroad Days 5K | 3 Mile Power Walk

*** CIRCLE SHIRT SIZE: SM, MD, LG, XL, XXL

IN CONSIDERATION FOR ACCEPTING MY ENTRY IN THIS RACE, I FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE FOREVER ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE ORGANIZERS AND SPONSORS OF THIS EVENT. I ALSO RELEASE THE ABOVE NAMED FOR ALL CLAIMS OF DAMAGE DEMANDS, AND ACTIONS IN ANY MANNER DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH SUSTAINED AS A RESULT OF MY TRAVELING TO AND FROM AND MY PARTICIPATION IN SAID RACE. I ATTEST AND VERIFY THAT I AM PHYSICALLY FIT AND HAVE SUFFICIENTLY TRAINED FOR THE COMPETITION OF THIS EVENT. IN FILLING OUT THIS FORM, I ACKNOWLEDGE I HAVE READ AND FULLY UNDERSTAND MY OWN LIABILITY AND ABILITY. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


This entry form was generated with the SFTC Calendar Utility at www.runtricities.org